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Polymicrobial bacterial infection increases host susceptibility to intestinal inflammation 多微生物细菌感染增加宿主对肠道炎症的易感性
Pub Date : 2018-07-30 DOI: 10.4172/2332-0877-C2-040
Sara M. Dann
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引用次数: 0
Prevention of healthcare-associated infections in neonates: Room for improvement 预防新生儿保健相关感染:有待改进的空间
Pub Date : 2018-07-30 DOI: 10.4172/2332-0877-C2-042
Jency Suraj
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引用次数: 1
Association of P2X7 1513A/C polymorphism with susceptibility to tuberculosis among sudanese patients 苏丹患者P2X7 1513A/C多态性与结核病易感性的关系
Pub Date : 2018-07-30 DOI: 10.4172/2332-0877-C2-041
H. Mukhtar, W. Eldaif, Alsadig Gassoum, M. A. Arbab, Hassan Musa
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引用次数: 0
Clinical Application Research of the Improved Mini Laparoscopic Cholecystectomy 改良微型腹腔镜胆囊切除术的临床应用研究
Pub Date : 2018-07-18 DOI: 10.4172/2332-0877.1000371
Jiang Dayong, Qiaoli. Song, Ma Zhengbing, Bai Yuling, Teng Hong, Z. Feg
Objective: Comparative analysis of the improved “mini” laparoscopic cholecystectomy and traditional laparoscopic cholecystectomy, to explore the advantages and disadvantages of the improved “mini” laparoscopic cholecystectomy. Methods: Analysis of the medical records from 341 cases of the improved “mini” laparoscopic cholecystectomy and107 cases of traditional laparoscopic cholecystectomy were conducted at the same period. Institutional review board approval was obtained for this study. Comparison between the two groups in operation time,intraoperative blood loss, complications around the operation, hospitalization time, intestinal function recovery time, postoperative pain score and abdominal wall cosmetic effect score. Results: The postoperative pain score of the improved “mini” laparoscopic cholecystectomy group (Group A) was lower than that of traditional laparoscopic cholecystectomy group (Group B) (P<0.05). The abdominal wall cosmetic effect score of group A is obviously higher than that of group B(P<0.01). Conclusion: The improved “mini” laparoscopic cholecystectomy has the advantages of less postoperative pain and better cosmetic effect on the abdominal wall, which makes it easier to be accepted by the majority of patients.
目的:比较分析改良“迷你”腹腔镜胆囊切除术和传统腹腔镜胆囊切除手术的优缺点。方法:对341例改良“迷你”腹腔镜胆囊切除术和107例同期传统腹腔镜胆囊切除手术的病历资料进行分析。该研究获得了机构审查委员会的批准。两组在手术时间、术中出血量、术后并发症、住院时间、肠功能恢复时间、术后疼痛评分、腹壁美容效果评分等方面的比较。结果:改良“迷你”腹腔镜胆囊切除术组(A组)术后疼痛评分低于传统腹腔镜胆囊切除组(B组)(P<0.05),腹壁美容效果评分明显高于B组(P<0.01)术后疼痛,对腹壁有较好的美容效果,更容易被大多数患者接受。
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引用次数: 1
Antibiotic Susceptibility Pattern of Pseudomonas aeruginosa Isolates from Wound Infections in a Tertiary Care Centre in South Kerala, India 印度南喀拉拉邦一家三级医疗中心伤口感染铜绿假单胞菌的耐药性模式
Pub Date : 2018-07-09 DOI: 10.11648/J.IJIDT.20180302.12
S. Babu
Multiple antibiotic resistance in bacterial populations is a pervasive and growing clinical problem, which is recognized as a threat to public health. Drug resistance to Pseudomonas sp. has spread to such a level irrespective of the type of patients, that, its pattern of distribution and antibiotic resistance needs to be studied in detail, especially in trauma patients. Of the Gram negative bacilli, Pseudomonas aeruginosa has been of particular interest, the incidence of which in wound infection has increased compared to a decade back. The objective of this study was to know the antibiotic susceptibility pattern of Pseudomonas aeruginosa isolates from wound infections. Out of the total of 1404 cases from which pus samples collected, 204 (14.5%) yielded Pseudomonas aeruginosa isolates. Among the antibiotics tested, Imipenem was the most sensitive drug, showing susceptibility in 81.3% of the isolates, followed by Piperacillin + tazobactam (76.4%), Meropenem (70.5%) and Piperacillin (67.6%). Fifteen (7.4%) multidrug resistant strains were reported out of the 204 isolations. Increase in resistance to aminoglycosides and fluoroquinolones in this study, prompted evaluation of antibiotic susceptibility pattern of Pseudomonas isolates from clinical samples at regular intervals.
细菌群体中的多重抗生素耐药性是一个普遍且日益严重的临床问题,被认为是对公共健康的威胁。无论患者类型如何,对假单胞菌的耐药性都已扩散到这样的水平,因此需要详细研究其分布模式和抗生素耐药性,尤其是在创伤患者中。在革兰氏阴性杆菌中,铜绿假单胞菌引起了人们的特别关注,与十年前相比,其在伤口感染中的发病率有所增加。本研究的目的是了解伤口感染铜绿假单胞菌分离株的抗生素敏感性模式。在收集脓液样本的1404例病例中,204例(14.5%)产生了铜绿假单胞菌分离株。在测试的抗生素中,亚胺培南是最敏感的药物,81.3%的分离株显示出耐药性,其次是哌拉西林+他唑巴坦(76.4%)、美罗培南(70.5%)和哌拉西林(67.6%)。在204个分离株中,报告了15个(7.4%)多药耐药菌株。在这项研究中,对氨基糖苷类和氟喹诺酮类药物的耐药性增加,促使定期评估临床样本中假单胞菌分离株的抗生素敏感性模式。
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引用次数: 2
Phenotypic Profile and Antibiogram of Pathogens Isolated from Diabetic Patients Attending National Hospital in Abuja, Nigeria 尼日利亚阿布贾国家医院糖尿病患者分离的病原体表型和抗生素谱
Pub Date : 2018-05-15 DOI: 10.4172/2332-0877.1000361
Musa Muhammad Babandina, Abdullahi Suleiman Mainasara, I. Nasir, M. K. Dallatu, M. Bakare, L. Olayemi, R. O. Ajagbe
Diabetic patients are at increased risk of wound infection after minor or major surgery due to the role diabetes play in metabolic function by impairing inflammatory process leading to increased risk of infection and impaired wound healing. This study investigated the phenotypic profile and antibiogram of pathogens isolated from diabetic patients attending National Hospital in Abuja, Nigeria After approval from the Ethics and Research committee of National Hospital, Abuja. Wound swab sticks were carefully collected from consented 40 post-operative diabetic subjects and 40 post-operative non-diabetic subjects. These samples were analyzed using standard microbiological techniques for isolation, identification and the antibiograms of pathogens. Distribution of bacterial isolate in this study revealed that Staphylococcus spp (both coagulase positive and coagulase negative) are the most common pathogen from post-operative septic diabetic patients, 15 (37.5%); followed by Escherichia coli, 10 (25.0 %); Klebsialla spp and Pseudomonas aeruginosa has 6 (15.0%) each. However, Staphylococcus spp in septic non-diabetic wounds was 35.0%, followed by Escherichia coli and Proteus spp (27.5%) while Klebsiella spp, Streptococcus spp and Pseudomonas aeruginosa comprised of 16.3%, 3.7% and 2.5% respectively. The antibiotic susceptibility pattern of respective isolates showed Ceftriazone, Levofloxacin, Ofloxacin as more susceptible compared to Amoxicillin-Clavulanate and gentamycin. The pattern also suggests multidrug resistance in Staphylococcus aureus, Escherichia coli and Pseudomonas spp compared with no antibiotic resistance in isolates such as Proteus spp, Klebsiella spp and coagulase negative Staphylococcus (CoNS).Conclusion: Findings from this study indicated that unprecedented bacterial infection is mostly supported by diabetes which may lead to delayed wound healing. It further revealed that more antibiotics resistance in septic diabetic subject than septic non-diabetics.
糖尿病患者在小手术或大手术后伤口感染的风险增加,因为糖尿病通过损害炎症过程在代谢功能中发挥作用,导致感染风险增加和伤口愈合受损。经阿布贾国家医院伦理与研究委员会批准,本研究调查了从尼日利亚阿布贾国家医院糖尿病患者中分离的病原体的表型特征和抗体谱。从40名同意的术后糖尿病受试者和40名术后非糖尿病受试人身上仔细收集伤口拭子棒。这些样品采用标准微生物技术进行分析,用于分离、鉴定和病原体的抗体谱。本研究中分离菌株的分布表明,葡萄球菌spp(凝固酶阳性和凝固酶阴性)是术后感染性糖尿病患者最常见的病原体,有15种(37.5%);其次为大肠杆菌10株(25.0%);克雷伯菌属和铜绿假单胞菌各有6个(15.0%)。然而,感染性非糖尿病伤口中的葡萄球菌占35.0%,其次是大肠杆菌和变形杆菌(27.5%),而克雷伯菌、链球菌和铜绿假单胞菌分别占16.3%、3.7%和2.5%。各分离株的抗生素敏感性模式显示,与阿莫西林-克拉维酸盐和庆大霉素相比,头孢曲松、左氧氟沙星和氧氟沙星更敏感。该模式还表明金黄色葡萄球菌、大肠杆菌和假单胞菌spp中存在多药耐药性,克雷伯菌属和凝固酶阴性葡萄球菌(CoNS)。结论:本研究结果表明,前所未有的细菌感染主要由糖尿病支持,糖尿病可能导致伤口愈合延迟。研究进一步表明,感染性糖尿病患者的抗生素耐药性高于感染性非糖尿病患者。
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引用次数: 0
Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017 2017年贝宁北部全科医生对儿童急性中耳炎的护理
Pub Date : 2018-05-09 DOI: 10.11648/J.IJIDT.20180302.11
M. Flatin, S. Hounkpatin, C. Attinsounon, Abdou Zulkif Toungou, F. Bouraima, Alexis do Santos Zounon, F. Avakoudjo, W. Adjibabi
Introduction: Acute otitis media (AOM) is a common childhood infection, subject to a wrongful prescription of antibiotics. The objective of this work was to evaluate the practices of general practitioners of North-Benin, in term of caring AOM in children. Methods: This was a cross-sectional, descriptive survey based on a telephone interview questionnaire with 112 general practitioners working in North Benin in 2017. The collected data were analyzed using EpiData Analysis and Open Epi software. The Khi2 test was used for comparisons. The significance threshold adopted was 0.05. Results: Of the 145 general practitioners listed, 112 participated in the survey for a participation rate of 77.2%. The mean age was 32 ± 6 years with a sex ratio of 4.04 and the median duration of seniority in the medical practice was 4 years with extremes of 1 and 32 years. Three main clinical signs suggestive of the diagnosis were, according to the respondents, otalgia (107; 95.5%), otorrhea (86; 76.8%) and fever (77; 68.8%). Tympanum inflammation and middle ear effusion association was considered as a diagnostic criterium by 17.9% of doctors. Therapeutic recommendations were known by 15 doctors (13.4%). Systematic antibiotic therapy was advocated by 86 doctors (76.8%). The main reasons for systematic antibiotics were the frequent use of antibiotics by parents in the self-medication (63 cases or 74.4%), the difficulty of following up the child (55 cases or 64 per cent) and the fear of the locoregional or systemic spread of infection (40 cases or 46.5%). The amoxicillin-clavulanic acid combination was prescribed as first-line by 68 respondents (62.4%). Forty doctors (36.7%) prescribed third-generation cephalosporins as second-line therapy. Systemic rhinopharyngeal disinfection was performed by 23 doctors (20.5%). In case of therapeutic failure, the opinion of an ENT doctor was requested by 66 general practitioners or 58.9% of the cases. Conclusion: It is necessary that Beninese medical companies develop national recommendations for managing the acute otitis media and ensure their diffusion through continuous medical training.
简介:急性中耳炎(AOM)是一种常见的儿童感染,受到错误的抗生素处方。这项工作的目的是评估贝宁北部全科医生在照顾儿童AOM方面的做法。方法:采用横断面描述性调查方法,对2017年在贝宁北部工作的112名全科医生进行电话访谈问卷调查。使用EpiData Analysis和Open Epi软件对收集的数据进行分析。采用Khi2检验进行比较。采用的显著性阈值为0.05。结果:145名全科医生中,有112名参与调查,参与率为77.2%。平均年龄为32±6岁,性别比为4.04,从业年资中位数为4年,极值为1年和32年。据应答者称,提示诊断的三个主要临床体征是:耳痛(107;95.5%),耳漏(86;76.8%)和发热(77;68.8%)。17.9%的医生将鼓室炎症和中耳积液关联作为诊断标准。15名医生(13.4%)知道治疗建议。86名医生(76.8%)主张系统抗生素治疗。使用系统抗生素的主要原因是家长自行给药时频繁使用抗生素(63例,74.4%)、患儿随访困难(55例,64%)和担心感染局部或全身扩散(40例,46.5%)。68名应答者(62.4%)将阿莫西林-克拉维酸联合处方为一线。40名医生(36.7%)将第三代头孢菌素作为二线治疗。全身性鼻咽消毒23例(20.5%)。在治疗失败的情况下,有66名全科医生(58.9%)要求耳鼻喉科医生的意见。结论:贝宁医疗公司有必要制定管理急性中耳炎的国家建议,并通过持续的医疗培训确保其传播。
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引用次数: 0
Cerebral Hemodynamics Influence on the Current and Prediction of Hepatic Encephalopathy 脑血流动力学对肝性脑病现状及预测的影响
Pub Date : 2018-03-28 DOI: 10.11648/J.IJIDT.20180301.14
B. Fishman, V. Veber, V. Kulikov, M. Hapman, О. Denisova, K. Nikolaeva, V. Zurabov, M. Yukhno, O. Lole, P. Starikov
Among patients of different ages with hepatocirrhosis of A, B, C virus viral etiology in Child-Pugh, chronic hepatic encephalopathy of all stages may occur along with discirculatory disorders with the development of chronic cerebrovascular insufficiency. The Reitan test duration is more than 200 seconds, blood flow hemispheric asymmetry is more than 40%, the decrease in the velocity parameters of the blood flow and the indices of vascular resistance in the basins of the middle cerebral arteries decrease below the reference values are associated with the adverse hepatic encephalopathy prognosis. The degrees of cognitive and discirculatory disorders are interrelated with the compensation stages for hepatocirrhosis. An increase of cognitive impairment degree from the logical thinking ability and attention to time and space disorientation is registered along with discirculatory disorders and cirrhosis compensation stage decrease.
在不同年龄的Child-Pugh型A、B、C型病毒性肝硬化患者中,随着慢性脑血管功能不全的发展,慢性肝性脑病可伴发各阶段的循环系统疾病。热坦试验持续时间大于200秒,血流半球不对称大于40%,大脑中动脉盆区血流速度参数下降及血管阻力指标低于参考值与肝性脑病预后不良有关。认知和循环功能障碍的程度与肝硬化代偿期有关。随着循环障碍和肝硬化代偿期的缩短,从逻辑思维能力和注意时间和空间定向障碍的认知障碍程度增加。
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引用次数: 0
In-vitro Evaluation of Antimicrobial Property of Catharanthus roseus (Linn.) G. Don. var. “ rosea ” and “ alba ” on Various Bacterial Pathogens 花楸花抗菌性能的体外评价g .堂。“玫瑰”和“白”对各种细菌病原体的影响
Pub Date : 2018-03-20 DOI: 10.4172/2332-0877.1000357
A. K. Yadav, Sanjeev Kumar Ambasta, S. Prasad, M. Trivedi
Objective: To evaluate the antibacterial property of crude, aqueous and organic solvent extracts from leaf, stem and root parts of two different cultivars of Catharanthus roseus (i.e. “rosea” and “alba”) under in-vitro conditions on various human pathogenic bacteria. Methods: Antibacterial activity of C. roseus was performed by crude (Fresh), aqueous, ethanol, methanol and mixture of ethanolic leaf extracts (Dried) against various pathogenic bacteria viz. Bacillus subtilis (B. subtilis), Escherichia coli (E. coli), and Staphylococcus aureus (S. aureus) by disk diffusion assay under in-vitro conditions. Results: Gram positive bacteria were found to be more susceptible rather Gram negative bacteria. Dried extracts of root, stem and leaf of C. roseus var. “rosea” and “alba” plants show maximum antibacterial potential activity against all test microorganisms. The equimolar (1:1) concentration (Mixture) of ethanolic leaf extracts of species “rosea” and “alba” exhibit maximum zone of inhibition against all the test organisms (B. subtilis, E. coli, and S. aureus) rather than individually extracted form. Findings of ethanolic mixture on the tested bacterium confirm the effect may be potentiating or synergistic or additive or antagonistic. Conclusions: From the findings it could be inferred that C. roseus varieties “rosea” and “alba” could be efficiently used in the development of new life saving drugs.
目的:考察玫瑰花(Catharanthus roseus,即“玫瑰花”和“白花”)叶、茎和根的粗提物、水提物和有机溶剂提物在体外条件下对多种人类致病菌的抑菌作用。方法:在体外条件下,采用纸片扩散法测定玫瑰玫瑰粗提取物(新鲜)、水提取物、乙醇提取物、甲醇提取物和乙醇提取物(干燥)的混合物对枯草芽孢杆菌(B. subtilis)、大肠杆菌(E. coli)和金黄色葡萄球菌(S. aureus)的抑菌活性。结果:革兰氏阳性菌较革兰氏阴性菌更易感染。玫瑰C. roseus var. " rosea "和" alba "植物根、茎和叶的干燥提取物对所有试验微生物的抑菌活性最大。“玫瑰”和“白”两种植物的乙醇叶提取物的等摩尔(1:1)浓度(混合物)对所有试验生物(枯草芽孢杆菌、大肠杆菌和金黄色葡萄球菌)的抑制作用最大,而不是单独提取的形式。对被测细菌的乙醇混合物的研究结果证实,这种作用可能是增强的、协同的、加和的或拮抗的。结论:从研究结果可以推断,玫瑰属品种“玫瑰”和“白”可以有效地用于开发新的救命药物。
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引用次数: 1
Impact of Antibiotic Use in Patient Colonization with Multidrug-resistant Organisms 抗生素使用对患者多药耐药菌定植的影响
Pub Date : 2018-03-19 DOI: 10.4172/2332-0877.1000356
Damaceno Qs
There are some variables associated with multidrug-resistant organisms (MDRO) establishment success in healthcare settings and infection outcomes such as long-time use of antibiotics, immunosuppression, medical devices, loss of skin integrity, time of permanence of patients in ICUs and microorganism virulence. Our aim was to review the impact of antimicrobial use in patients’ colonization with MDRO. In fact, gene encoding resistance can be detected even in commensal microbiota. Some analysis using DNA sequencing to evaluate microbiomes has confirmed the impact of antibiotic use in microbiota leading to the emergence of potential pathogens. Conversely, the decreased use of a specific antibiotic can lead to loss of resistance.
有一些变量与多药耐药生物(MDRO)在医疗环境中的建立成功和感染结果相关,如长期使用抗生素、免疫抑制、医疗设备、皮肤完整性丧失、患者在icu中停留的时间和微生物毒力。我们的目的是回顾抗菌药物使用对患者MDRO定植的影响。事实上,即使在共生菌群中也可以检测到编码抗性的基因。一些利用DNA测序来评估微生物组的分析证实了抗生素在微生物群中的使用会导致潜在病原体的出现。相反,减少特定抗生素的使用可能导致耐药性丧失。
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引用次数: 0
期刊
Journal of infectious disease and therapy
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